{
  "resourceType": "StructureDefinition",
  "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ClinicalImpression-Verlauf",
  "version": "0.9.0",
  "name": "Verlauf",
  "status": "active",
  "description": "Dient zur Erfassung der Follow-ups. Analog zum Verlauf im ADT/GEKID-Datensatz können weitere Parameter für die Entwicklung der Erkrankung (Rezidiverkrankung, Progress) erfasst werden. Dies gilt insbesondere für die TNMs und die Histologie.",
  "fhirVersion": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "ClinicalImpression",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ClinicalImpression.status",
        "path": "ClinicalImpression.status",
        "mustSupport": true
      },
      {
        "id": "ClinicalImpression.subject",
        "path": "ClinicalImpression.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ClinicalImpression.encounter",
        "path": "ClinicalImpression.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ClinicalImpression.effective[x]",
        "path": "ClinicalImpression.effective[x]",
        "short": "Untersuchungs-, Befunddatum im Verlauf",
        "definition": "Entspricht dem Datum, an welchem dieser Verlauf dokumentiert wurde",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "Verlauf:Untersuchungsdatum_Verlauf",
            "comment": "Verlauf:Untersuchungsdatum_Verlauf"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:47:3, urn:dktk:dataelement:25:4, urn:dktk:dataelement:43:3, urn:dktk:dataelement:45:3"
          }
        ]
      },
      {
        "id": "ClinicalImpression.previous",
        "path": "ClinicalImpression.previous",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-ClinicalImpression-Verlauf"
            ]
          }
        ]
      },
      {
        "id": "ClinicalImpression.problem",
        "path": "ClinicalImpression.problem",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ClinicalImpression.problem.reference",
        "path": "ClinicalImpression.problem.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ClinicalImpression.finding",
        "path": "ClinicalImpression.finding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ClinicalImpression.finding.itemReference",
        "path": "ClinicalImpression.finding.itemReference",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Vitalstatus",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TodUrsache",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusLymphknoten",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-LokalerTumorstatus",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TumorstatusFernmetastasen",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GesamtbeurteilungTumorstatus",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Fernmetastasen",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Histologie",
              "https://fhir.bbmri.de/StructureDefinition/Specimen",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMp",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-TNMc",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-GenetischeVariante",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-Ecog",
              "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Observation-WeitereKlassifikation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ClinicalImpression.finding.itemReference.reference",
        "path": "ClinicalImpression.finding.itemReference.reference",
        "min": 1,
        "mustSupport": true
      }
    ]
  }
}